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Joined 2 years ago
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Cake day: July 4th, 2023

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  • I know the DSM isn’t perfect but inattention, hyperactivity, and impulsivity are the main criteria, and those are all issues that I believe stem from poor concentration or focus.

    My opinion still remains the same; I think many have these traits but few have it to a level which is appropriately classified as a disorder. Stimulants are performance enhancing drugs for your brain and they have side effects. People hear from a friend or post online that it helped someone and go get evaluated - by a for profit industry that stands to make money by getting more patients. Pretty easy to cut someone a script and bill that CPT code.

    I’m not saying this disorder doesn’t exist, or that some people have no option but medication. I do think it’s over diagnosed by an industry relying on patient satisfaction scores.

    This is my unpopular opinion. I don’t believe taking a medication for life as the first line treatment is appropriate, especially when they’re directly affecting reward pathways. ADHD is just one of many areas in medicine I see this happening.


  • ADHD is massively over diagnosed in the US. No shit stimulants make you concentrate better, that doesn’t mean you had ADHD. Concentration is like a muscle, you have to actively invest effort into making it better. It’s hard to concentrate and scrolling through posts and flicking through shorts is atrophying this ability. It’s like someone who doesn’t work out or eat well thinking they have a muscle development disorder, taking anabolic steroids, and since they gained muscle it confirms their suspicions that they had a disorder. Concentrating is difficult, it takes active effort, and you will hit walls when your brain is tired. It can be trained, however. This should be the focus and stimulants should be the absolute last option and only for people who truly meet the definition of disorder, i.e. it greatly impairs their relationships, work, or daily life.

    I’m not saying it doesn’t exist at all, but I do think it’s way over diagnosed. Doctors want those high patient satisfaction scores, which is another issue in medicine in general.